Trevor Smart, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

04063 Issued in NH

Practice address

77 Gilcreast Rd Ste 1004
Londonderry, NH 03053-3518

Phone

(603) 434-8800

NPI assigned

Jul 23, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ebright & Smart Family Dentistry

  • Dental Clinic/Center
  • Londonderry, NH
  • NPI 1467949123
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1134537137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GILCREAST RD STE 1004",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533518",
            "telephone_number": "315-521-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GILCREAST RD STE 1004",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533518",
            "telephone_number": "603-434-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Broad St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030633160",
            "country_code": "US",
            "telephone_number": "603-882-7312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMART",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NH",
            "license": "04063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Simoneau
• Simply Dental of Londonderry Miles of Smiles
• Stacie Siwik, LICSW
• Shelley Ann Slavoski, OTR/L
• Tai C Slyne, DNP,ARNP, FNP, PMHNP
• Dawn Smith, RRT
• Vincent G Smith, PH.D.
• SNH Therapeutics LLC
• Julia Sorrell
• Spindel Eye Associates PC

• Dentist in Londonderry, NH
• Providers in Londonderry, NH by specialty
• Dentist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.